MEDICARE: CARTER COUNTY PUBLIC HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1194012492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARTER COUNTY PUBLIC HEALTH

Provider Business Mailing Address
First Line	:	P O BOX 46
Second Line	:	215 SANDY STREET
City	:	EKALAKA
State	:	MT
Zip	:	59324-0046
Country	:	US
Telephone Number	:	406-775-6332
Fax Number	:	406-775-6706

Provider Business Practice Location Address
First Line	:	215 SANDY STREET
Second Line	:
City	:	EKALAKA
State	:	MT
Zip	:	59324-0046
Country	:	US
Telephone Number	:	406-775-6332
Fax Number	:	406-775-6706

Authorized Official
Title or Position	:	PUBLIC HEALTH NURSE
Name	:	MRS. MARION KERR
Credential	:
Telephone Number	:	406-775-6332

Provider Enumeration Date	:	07/07/2011
Last Update Date	:	07/07/2011

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Directions to “CARTER COUNTY PUBLIC HEALTH ” Practice Location

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